KARL DAVID JOHANNESSEN

MELBOURNE, FL
NPI1306863105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC 2589)
Enumeration Date2006-07-16
Last Update Date2007-07-08
Business Address
Dr. KARL DAVID JOHANNESSEN OD
6300 N WICKHAM RD UNIT 123
MELBOURNE, FL 32940-2028
Phone number: 321-751-7270
Mailing Address
Dr. KARL DAVID JOHANNESSEN OD
PO BOX 120759
MELBOURNE, FL 32912-0759
Phone number: 321-298-7339
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